Organization Active NPI

Gulf Coast Occupational Medicine After Hours, Westbank

  • Urgent Care Clinic/Center
  • Gretna, LA
National Provider Identifier
1770637662
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
GULF COAST OCCUPATIONAL MEDICINE AFTER HOURS, WESTBANK
Practice address
441 Wall Blvd
Gretna, LA 70056-7723
Phone
(504) 831-3112
Fax
(504) 831-3778
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Keith Leblanc
Title
Ceo
Phone
(504) 831-3112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

441 Wall Blvd
Gretna, LA 70056-7723

Mailing address

441 Wall Blvd
Gretna, LA 70056-7723
Phone (504) 831-3112

National Provider Directory

National Provider Directory

Locations

411 Wall Blvd
Gretna, LA 70056

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770637662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 WALL BLVD",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567723",
            "telephone_number": "504-831-3112",
            "fax_number": "504-831-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 WALL BLVD",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567723",
            "telephone_number": "504-831-3112",
            "fax_number": "504-831-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST OCCUPATIONAL MEDICINE AFTER HOURS, WESTBANK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-831-3112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.